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Alabama rates for HCPCS L3906

Wrist-hand orthosis (WHO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.46 / $419.46 / $419.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.56 / $377.79 / $419.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.35 / $308.35 / $308.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.31 / $293.31 / $555.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.12 / $214.12 / $644.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.69 / $493.69 / $580.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.88 / $217.32 / $327.36